Michelle L Shallow, PTA

NPI #1497190904 in Marinette, Wisconsin

Provider Information

NPI Number
1497190904
Entity Type
Individual
Name
Michelle L Shallow, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 10, 2013
Last Updated
May 10, 2013

Practice Location

Address
4061 OLD PESHTIGO RD
ZIP Code
54143-3887
Phone
(715) 732-8000

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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